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Molina Healthcare provides a holistic, community-based approach designed specifically to meet the individual needs of our members, includes Medicaid, Medicare and Marketplace offers.
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Welcome, Nebraska healthcare providers

Partner with Molina Healthcare to deliver quality care. Use our portal, tools and support to serve Nebraska members.

See the latest Nebraska provider updates

Find announcements, prior authorization changes and newsletters to keep your practice informed.

View updates

Provider support

Do more in the Availity provider portal

Work faster with real-time tools that help you manage members’ care:

Check eligibility and benefits
Submit and track claims
Review remits and payments
Start and check authorizations
Submit claim disputes and appeals

Need assistance?

Find your Provider Relations representative or contact Provider Services at (844) 782-2678, Monday through Friday, 7 a.m. to 6 p.m., CT, or email us at NEProviderRelations@MolinaHealthcare.com.

Molina Dental Services

We are dedicated to the administration of the statewide Nebraska Medicaid Dental Program. In partnership with SKYGEN USA, LLC our mission is to deliver effective, reliable, and affordable dental care to those who need it most. The SKYGEN Dental Hub is the exclusive dental provider platform for the Molina Healthcare of Nebraska Dental Network. It combines powerful new enhancements with current features and functionality to provide the best experience for you and your practice at no cost to you.

Use a single sign-on to manage your practice.
Immediate access to member and benefit information, claim and authorization history, and payment records at any time, 24 hours a day, 7 days a week.
Submit claims and authorizations using pre-populated electronic forms and data entry shortcuts.
Attach and securely send supporting documents, such as digital X-rays, EOBs, and treatment plans.
Check the real-time status of in-process claims and authorizations, review historical payment records, and much more.
Access to dental provider resources, such as the dental provider manual and training sessions.
Log in here to access all these great features! https://www.dentalhub.com/molina

For help getting started with the SKYGEN Dental Hub, join one of our weekly training webinars at https://www.dentalhub.com/webinars. The SKYGEN Hub support line is (855) 609-5156 and is available from 8 a.m. to 4:30 p.m. CT, Monday through Friday.

Need a prior authorization?

Use Code Lookup Tool

Get provider tools and resources

Quick links to common tasks

Provider portal (Availity)

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Education, programs and tools

Explore training, behavioral health resources and quality programs.

Provider education and training

Find resources and training on technology, processes and more.

View now

Behavioral health resources

Get information on screenings, education and other guidance to support members’ behavioral health.

See Behavioral Health Toolkit

Provider Manual

Find what you need, including the grievance and appeals process, provider and member rights and responsibilities and more.

Read the Molina Healthcare of Nebraska Provider Manual:

Medicaid

Medicare

Dental Provider Manual

The Dental Provider Manual contains comprehensive information about Molina Nebraska Heritage Health dental benefits, including billing, policies, procedures, and how we partner with our network of Providers. The Dental Provider Manual can be accessed on the Molina Healthcare website, on the SKYGEN Dental Hub, or you may request a printed copy by contacting Molina Dental Services Provider Services at MDVSProviderServices@molinahealthcare.com.

Read the Molina Healthcare of Nebraska Dental Provider Manual

Quality and HEDIS support

Access guidance, reminders and resources to improve outcomes.

View quality resources

Report Fraud, Waste and Abuse

Compliance is everyone’s responsibility. Use our online or phone resources to speak up.

Report FWA online

Update your directory information

Review your office location, hours and contact information in our Provider Online Directory at least every 90 days.

To make updates, submit a roster to Molina.

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Welcome to Molina Healthcare Peer-to-Peer Online Scheduling

The online P2P Scheduling Tool is currently only for Medicaid Medical P2P Review Requests, not Advanced Imaging, Behavioral Health, or Pharmacy.
For Advanced Imaging, Behavioral Health or Pharmacy peer-to peer scheduling, please follow the instructions in your denial letter.
To complete a peer-to-peer request, you will need the following information:

- Requester name and contact information
- Provider name, NPI and contact information
- Patient date of birth and authorization number
- Provider availability

(*) Indicates a required field.

1Background Information
2Provider Information
3Patient and Authorization Information
4Provider Availability

Background Information

* Is this a Molina Medicaid member?

Yes

* Has it been more than 5 business days since you received the denial?

Yes

* Have you started the appeal process for this denial?

Yes

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Contact Molina Healthcare of Nebraska

We are here to help with portal access, claims, authorizations and contracting questions.

Phone: (844) 782-2678 Hours of operation: Monday through Friday, 7 a.m. to 6 p.m., CT

Email: NEProviderRelations@MolinaHealthcare.com

Address: 14748 W Center Rd, Ste 104, Omaha, NE 68144

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Helpful links for Nebraska Providers

Use these links to manage your daily tasks.

Provider communications and newsletters

State of Nebraska’s Department of Health and Human Services (NE DHHS)

CyncHealth

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Need assistance? We are here to help.

Call us at (844) 782-2678 Monday through Friday, 7 a.m. to 6 p.m., CT, or email us at NEProviderRelations@MolinaHealthcare.com Join Our Network

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For dental providers, the SKYGEN Provider Services department handles telephone and written inquiries regarding claims, authorizations, and training on how to use the SKYGEN platform. The SKYGEN Provider Services Team is available at (855) 806-5192 from 7 a.m. to 8 p.m. CT, Monday through Friday.

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Important information

This page is for providers serving Molina Healthcare of Nebraska members. For enrollment verification, use the provider portal or Maximus' Nebraska Provider Data Management System (PDMS) website. For more information about Maximus' PDMS, call (844) 374-5022 or email nebraskamedicaidPSE@maximus.com.

For questions about how to enroll as a Nebraska Medicaid provider, call (402) 471-9018. For full policies and authorization lists, visit the provider manual in the portal.